Which of the following statements regarding Guillain-Barré syndrome supports the admission to a critical care unit?
a. The demyelination process of the peripheral nerves is irreversible.
b. The demyelination process is limited to the peripheral nervous system only.
c. The paralysis associated with the syndrome occurs in a descending pattern.
d. The most common cause of death is from respiratory arrest.
D
Most patients with Guillain-Barré syndrome (GBS) do not require admission to the critical care unit. However, the prototype of GBS, known as acute inflammatory demyelinating polyradiculoneuropathy (AIDP), involves a rapidly progressive, ascending peripheral nerve dysfunction, which leads to paralysis that may produce respiratory failure. Because of the need for ventilatory support, AIDP is one of the few peripheral neurologic diseases that necessitates care in a critical care environment
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